Individual
VIJAY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2315 E 93RD ST, SUITE 340, CHICAGO, IL 60617-3910
(773) 721-0322
(773) 721-1471
Mailing address
PO BOX 10428, MERRILLVILLE, IN 46411-0428
(219) 681-2065
(219) 681-2066
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036060465
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060465
—
IL
05
—
100377340
—
IN
Enumeration date
05/08/2006
Last updated
01/24/2011
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